The holder whose full name is SALAZAR, GENARO LOPEZ,come from MOUNT PLEASANT IA,hold the Physician license(NO.01043562A) which status is Expired Non-Renewable.
Name | SALAZAR, GENARO LOPEZ |
---|---|
License Number | 01043562A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | MOUNT PLEASANT |
State | IA |